人工流产对妇女长期心理健康的影响  

The influence of induced abortion in women's long-term mental health

作　　者：史春[1] 姜芬[2] 郭洪花[2] 

机构地区：[1]海口市妇幼保健院产科,海南海口570000 [2]海南医学院国际护理学院,海南海口571199

出　　处：《中国计划生育和妇产科》2015年第5期48-51,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：海南省教育厅科研基金项目(项目编号:Hjkj2012-37)

摘　　要：目的探讨人工流产对妇女长期心理健康的影响。方法采用随机数字表法随机抽取2012年6~10月海口市3所三级医院的251名人工流产妇女（人工流产组）及250名健康育龄期妇女（对照组）,运用创伤后应激障碍（post traumatic stress disorder,PTSD）自评量表（PCL-C）,对人工流产组术后第10天及同期对照组,人工流产组术后第3、6、12、24个月进行调查,并进行对比分析。结果人工流产组妇女术后第10天PCL-C的总分、再体验、回避及警觉得分均显著高于对照组（P〈0.05）。人工流产组术后第10天和第3个月PCL-C总分比较差异无统计学意义（P〉0.05）,第6、12、24个月呈现显著下降趋势;再体验和警觉维度呈下降趋势;回避维度变化最初为上升趋势,第3个月达高峰,之后呈明显下降趋势。结论人工流产作为一种创伤应激源对术后妇女的心理健康具有长期影响。Objective To discuss the influence of induced abortion in women＇s long - term mental health. Methods 251 women experienced induced abortion （ induced abortion group） and 250 healthy women of childbearing age （ control group） were randomly selected from 3 tertiary hospitals from June 2012 to October 2012 in Haikou. Using the post traumatic stress disorder（PTSD） Checklist- Civilian Version （PCL- C） Scale, cases in induced abortion group 10 days postoperation and control group in the corresponding period, cases in induced abortion group 3, 6, 12, 24 months post - operation were surveyed. Results The total scores of PCL - C and the scores of subscales re - experience, avoidance and hyper - arousal in induced abortion group were higher than that in control group（P 〈0.05）. There was no significant difference in total scores of PCL - C between induced abortion women 10 days and 3 months post - operation（ P 〉 0. 05 ）, and then the downward trend was emerged after 6,12,24 months post - operation. The trend of re - experience and hyper - arousal scores declined. The avoidance scores rose at the beginning at the third month, then declined. Conclusion Induced abortion causes the long - term influence on womeng mental health as a kind of traumatic stressors.

关 键 词：人工流产 应激心理学 影响 

分 类 号：R395[哲学宗教—心理学]